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NPI Code Detail

MEDICARE: ASHLEY DAVIS

MEDICARE: ASHLEY DAVIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist22005850AIN

General Provider Information

NPI Number : 1043792062
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY DAVIS
Provider Business Mailing Address
First Line : 4105 N WALNUT ST
Second Line :
City : MUNCIE
State : IN
Zip : 47303-5904
Country : US
Telephone Number : 765-587-5244
Fax Number :
Provider Business Practice Location Address
First Line : 4105 N WALNUT ST
Second Line :
City : MUNCIE
State : IN
Zip : 47303-5904
Country : US
Telephone Number : 765-587-5244
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2018
Last Update Date : 09/06/2018

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Directions to “ ASHLEY DAVIS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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